THEMISTOCLES PETER ECONOMOU (NPI# 1528152170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528152170 |
| Entity Type | Individual |
| Full Name | THEMISTOCLES PETER ECONOMOU |
| Credential | M.D. |
| Practice Address |
7760 France Ave S Ste 1000 Bloomington MN 55435-5870 |
| Mailing Address |
2550 University Ave W Ste 110n Saint Paul MN 55114-2001 |
| Practice Telephone | 9527466767 |
| Practice Fax Number | 9527466768 |
| Mailing Telephone | 6516025309 |
| Mailing Fax Number | 6512226786 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 37341 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 384325400 | 05 |
| Street Address |
7760 FRANCE AVE S STE 1000 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55435-5870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457721326 | Katlyn Froyum | Physician Assistant | 7760 France Ave S Ste 1000, Bloomington, MN 55435-5870 | 2015-10-04 |
| 1477718351 | Valerie Lemaine | Plastic Surgery | 7760 France Ave S Ste 1000, Bloomington, MN 55435-5870 | 2008-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518992528 | Alan Flint Wise | Plastic Surgery | 1455 W Bloomfield Rd, Bloomington, IN 47403-2010 | 2006-07-11 |
| 1306880216 | William Edward Weber Jr. | Plastic Surgery | 1455 W 2nd Street, Bloomington, IN 47403 | 2006-06-15 |
| 1306847900 | Otis George Allen | Plastic Surgery | 1215 Holiday Dr, Bloomington, IL 61704-2214 | 2005-08-03 |
| 1699107797 | Paige C. Holt | Plastic Surgery | 2502 E Empire St, Ste C, Bloomington, IL 61704-3738 | 2013-07-31 |
| 1295173128 | Paige C Holt, Md, Ltd | Plastic Surgery | 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 | 2013-06-13 |
| 1215276530 | Center for Cosmetic and Laser Surgery, LLC | Plastic Surgery | 1505 Eastland Dr, Ste 350, Bloomington, IL 61701-3534 | 2013-02-06 |
| 1457629842 | Otis Allen Md Sc | Plastic Surgery | 1215 Holiday Dr, Bloomington, IL 61704-2214 | 2011-12-13 |
| 1487943593 | Premier Medical Group, LLC | Plastic Surgery | 1505 Eastland Dr, Suite 350, Bloomington, IL 61701-3534 | 2011-03-30 |
| 1477718351 | Valerie Lemaine | Plastic Surgery | 7760 France Ave S Ste 1000, Bloomington, MN 55435-5870 | 2008-07-21 |
| 1225129570 | Plastic Surgery Associates of Southern Indiana PC | Plastic Surgery | 1455 W 2nd Street, Bloomington, IN 47403 | 2006-09-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55435 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.